HomeMy WebLinkAbout15671-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-17389
Date OCTOBER 6r 1988
THIS CERTIFIES that the building
Location of Property 1380 WIGGINS LANE
House No.
County Tax Map No. 1000 Section 35
ACCESSORY
EAST MARIONr N.Y.
Street Hamlet
Block 5 Lot 23
Section ~3
Subdivision M/o Cleaves Point /Filed Map No. 4650 Lot No. 64
conforms substantially to the Application for Building Permit heretofore
filed in this office dated FEBRUARY 6, 1987
pursuant to which
Building Permit No. 1567t-Z dated FEBRUARY 9~ 1987
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for whmch this certmflcate is
issued Ks INGROUND SWIMMING POOL & FENCE AS APPLIED FOR
The certifmcate Ks issued to SILVANA & FRANK CADEDDU
(owner,
of the aforesamd building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N821652- JLrLy 23~ 1987
N/A
Building Inspector
Rev. 1/81
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PER~IT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLE'rlON OF THE WORK AUTHORIZED)
N~ 15671
Z
Permission ts hereby granted to:
..~.~....~.:.......~......o~.....~.~ ........
....
,
at premises located at ..,~...~.~..~......In~......~.~ ...~..~........~.....~....~..~~......~..:..~ ·
Co ty Tax Map No. 1000 Sechon .....Q).m~,.~ ......... Block ...... ..~..~ ....... Lot No....~'~ ........
~u~uont ,o o~,icot,o, do,~ .~~~..~ ................ . ,,.~l.. on~ o~pr~e~ ~ ,h.
Building Inspector.
....... ;"'"'"'Bt~lTding Inspector
Rev 6/30/80
FORM NO 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewmter OR ink, and submitted m I~mm~ to the Budding Inspec-
tor w~th the following,, for new buddings or new use:
1. Ftnal survey of property w~th accurate location of all buildings, property lines, streets, and unusual
natural or topographic featu res
2.F~nal approval of H~alth Dept. of water supply and sewerage dmposal-(S~9 form or equal).
3.Approval of electrical ~nsta[lat~on from Board of Fire Underwmters.
4. Commermal buddings. Industrml buddings, Multiple Residences and similar buildings and installa-
tions, a certificate of Code comphance from the Architect or Engineer responmble for the building
§.Submit Planning Board approval of completed rote plan requirements where applicable.
B. For existing budding~ (prior to April 1957}, Non-conforming uses, or buildings and "pre-existing"
land uses
1. Accurate survev of ip~operty showing all property lines, streets, buildings and unusual natural or
topographic features.
2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buddings or premises, or other pertinent ~nforma-
tion reqmred to prepare a certificate.
C. Fees: Addztzons $25.00 POOLS $25.00 ALTERATION $25.00 1. Certiflcate of occupancy New Dwellzng $25.(10, Accessory ,$|0.00 Business $50.00
2. Certificate of occupancy on pre-existing dwelhng $ 50.00
3 Copy of certificate qf occupancy $ 5 00, over 5 years $10.00
4.Vacant Land C.O. $ 20.00
5.updated C.O. $ 50.00 Date ....... 7
NewCons%rucf,zon ...... Old or Pre-ex,stag Buddmg ........... Vacant Land .............
Locat,on of Property ........ ./.? ?..~.. ...... .b~..,.~...~\/..~.s... f..,¢.~..~....~!, ./~.'?.'...
Hou~ No. Street Hamlet
Owner or Owners of Property ~fJl/,,$,,U~,~ v /='.~'~v'L,'/'(.
County Tax Map No. 1000 Section ~ '~ Block ... ~
......................... Lot ....... , .......
Subd,v,sion .... ~/,f..f.(,~.6~..~... ~..r .~, .~, ...... F,led Map No..t_~.~...s-~.C?...Lot No.. (. ~, ........
Permit No .......... Date of Permit .......... Apphcant ...... ,...%/(,~'. ,~.'-~,~. ... .....¥/~.'~,'¢ ~'~. .........
Health Dept. Approval ........................ Labor Dept. Approval ..................... ...
Underwmters Approval ....................... Planning Board Approval ......................
Request for Temporary Certificate ................... Final Certificate ...................
Fee Submitted $ ...... e~ ,5~'; ~ .............
Construction on above described building and perm,t~meg,ts all apphcabl~,.~od~
/ Apphcant .... . ,/.~____/. ~.~...~-f~.. ................................
/
BUREAU OF ELECTR CITY
July 6, 1987 ~thth ...... nt~o th~sBoard
FIXTURES
RANGES
E R
SERVIC~ DISCONNECT S
AWG
OF CC COND
UNIT HEATERS MULTI-OUTLET
SYSTEMS
NO OF FEET
C
OF CC CONO
PER ,~
EXHAUST FANS
DIMMERS
($winm~ng Pool) This certificate covers co~aplianc,~ at the date of inspec-
tion only. B~caus~ of unusual environments it is advisable to ha%e frequent
test and/or repairs m~de by a qualified person.
~ & $ ~.lect.
~ox Z15
bouthold, N.Y.
11971 Llc~578g
Per
This cerhf;¢ote must not be altered m any manner, return to the office of the Board if incorrect Inspectors moy be ;dentsfled by their credenhals
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
OUNDATION (1st)
OUNDATION (2nd)
OUGH FRAME &
FLUMBING
NSULATION FERN. Y.
STATE ENERGY
CODE
ADDITION~
ZMENTS:
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
ROUGH PLBG.
FOUNDATION 2ND [ ]/~LATION
FRAMING [~] FINAL
REMARKS:
DATE
SUFIe. CO, MF.,A~.T~ I
4(}
TII'LIr
BOARD OF
3 SETS
FORM NO 1 SURVEY
TOWN OF SOUTHOLD CHECK
BUILDffqG DEPARTMENT SEPTIC FORM
TOWN HALL
NOTIFY
$OUTHOLD, N Y. 11971
TEL,. 765-1802 CALL
MAIL TO'
Dzsapproved a/c .....................
(Braiding Inspector)
HEALTH
OF PLANS
APPLICATION FOR BUILDING PERMIT
Date ........ , 19
INSTRUCTIONS
a. Ttus apphcation r~ust be, co~l~t~l~'IT~led m by typewriter or m znk and submitted to the Building Inspector, with 3
sets of plans, accurate~pl6t' ~lan'fo'g~l~.- l~ee a~cor&ng to schedule
b Plot plan showml$10,cgtjrlrklOfllp, t ~rrd~af' b~mldmgs On premmes, relatmnsh~p to adjoining premises or pubhc streets
or areas, and g~vmg a-'.d~I~.'e~c~ g4 n t oa oLkCout ~of~pkdperty must be drawn on the dmgmm whzch zs part of thts apph-
cat~on.
¢. The work co¥~e,d b]~ns~hcat~o, re,ay,not be commenced before ~ssuance of Budding Permit
d. Upon appmval-c~th]s~p~t~on,~tl[e Budding Inspector will ~ssued a Budding Permit to the apphcant Such penmt
shall be kept on tire prm~t~s:aCa¢~f(~r n~p~tmn throughout the work.
e. No buddmg, g _ha~lj~ oe~up~i'or, us~ m whole or ~n part for any purpose whatever untal a Certfficate of Occupancy
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the ~ssuance of a Bmld~ng Permit pursuant to the
Building Zone Or&nance of the T~wn of Southold, Suffolk County, New York, and other apphcable Laws, Ordinances o~
Regulatmns, for the construction of bmldmgs, addmons or alterahons, or for removal or demohtlon, as herem described.
The apphcant agrees to comply with all apphcable laws, ordznances, buddnr~ code, housing code, and regulations, and to
admzt authorized inspectors on prermses and m bufldmg for necessary mspec~o s
·
(S~gnature of apphcant, or name, ff a corporation)
(Mallmg address of apphcant) //0 }//.)
State whether apphcant ~s owner, lessee, agent, architect, engineer, general contractor, electncmn, plumber or builder
........ '~0 ?? ,.~'...-?.b~ k&~t( .....
Name of owner of premmes //~ ~-1'/. ~/~/~-.-1/~L ot ~( ...............
(as on the tax roll or latest deed)
If apphcant ~s a corporation, signature of duly authorized officer
(Name and t~tle of corporate officer)
Builder's License No ..
Plumber's L~cense No ...
Electncmn's L~cense No ......
Other Trade's License No ......
Location of land on which proposed work will be done
House Num~~ [~Ot~f'l'v~'c>/Fl'' Street
County Tax Map No 1000 Section 0.-.3 b
(Name)
Block .. . ~."7. .... Lot .... Z-..--~..
Fded Map No .~.~ 3-l?.. Lot ... ~J/.
State ex~st~ng use and occupancy of premmes and intended use and occupancy of proposed construction
a Ex~stmg use and occupancy .~2 O ] .........
b Intended use and occupancy ....
3. Nature of work (check whlch applicable) New Budding ..... Addition .. Alteration '4 fl.
Repair . . . Removal ...... Demolmon ...... Other Work ...
¥ (Descnption'
4 Estimated Cost . / .~Ow"O -- Fee .........
I " (to be paid on filing this apphcation)
5. If dwelhng, number of dwelhng units . -- ..... Number of dwelling units on each floor ..........
If garage, number of cars .... .-C ............................................
6 If business, commercial or'mixed occupancy, specify nature and extent of each type of use -- ....
7 D~menmons of existing stmctures, lf any. Front -. Rear ......... Depth .......
Height I Number of Stones
Dwnenmons of same structure with alterations or addmons Front .'-- .... Rear ........
Depth ......... Height ......... Number of Stones .............
-- 8. Dunenslons of entire new ,construction' Front . . .'- ........ Rear ........... Depth ............
Height ......... Number of Stones .........................
9. S~ze of lot Front , Rear ............. Depth ..... = .........
10. Date of Purchase ~z~3' '/.~'~'¥ ...... Name of Former Owner . /q~/~'~/..~
1 1 Zone or use district in which premises are situated....~v.~ S. ~.D~..x;r7 Fi'/~ .....................
12 Does proposed construction violate any zoning law, ord~rance or regulation . . ./~..O ................
13 Will lot be regraded . . ~ O, . .. ..... Wall excess fi,l! be remo~ved from premises' ~es
14 Name of Owner of premises/.~Kg¥ .. ~m/ff, q. D.. . Address .b¢..~..~p*q~.~zt..t~q'.v.. Phone No ..........
Name of ArchRect .............. Aaor ss ............ : rn ................
Name of Contractor . ! .............. Address ........ Phone No ..........
15. Is this property located within 300 feet of a tidal wetland? *Yes ..... No .~.,.
*If yes, Southold To~ Trustees Permzt maybe required.
PLOT DIAGRAM
Locate clearly and dmtmctly ali bu~dmgs, whether ex~stmg or proposed, and indicate ail set-back dunenmons fr
property hnes Give street and ~lock number or dcscnphon according to deed, and show street names and mdmate whet
interior or comer lot. I
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
STATE OF NEW YORK,
COUNTY OF ~./~F.-~./,~., S S
(Name of md~wdual signing contract)
above named 4¢
He is the .... 'f~ ~..c?.~/~.~.~ ........
7~E-1802 9 A~ rD ~ ~,~ ~J~ THE
FOLt OW~N~ INSo~CTIO¢ S
FOU~DArtO~ iWO
ROUG~ ~r,~lr~L ,', t~UMRtNG
ALL j,~*' ,, ~,r~ ~,~LL ~EET
THE ~PO[~ff,' ' ~'~I~, ,~ r~,IS N Y
being duly sworn, deposes and says that he ~s the apphc
(Contractor, agent, corporate officer, otc )
of smd owner or owners, and is duly authorized to perform or have performed the smd work and to make and file
apphcat~on4 that all statemeats contained m this application are true to the best of hm knowledge and belief; and that
work will be performed In the manner set forth m the application filed therewith.
Sworn to before me this
.. I.~.O. . dayof . .~. ...... ,19 7
Notary Pubhc, ~:1,(~..' ~' .~. (-~"--'' ' County ////, ,e
II0~l'~Cee~!7~ /'-~ ' ' (S,gnature of